Open Latarjet Results in Lower Recurrent Instability and Revision Rates Than Arthroscopic Bankart Repair at a 10-Year Follow-Up: A Systematic Review.

IF 4.4 1区医学 Q1 ORTHOPEDICS Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-01-07 DOI:10.1016/j.arthro.2024.12.038

Alex M Meyer, Samuel G Lorentz, Christopher S Klifto, Kendall E Bradley, Brian C Lau, Jonathan F Dickens, Eoghan T Hurley

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Abstract

Purpose: To compare arthroscopic Bankart repair versus the open Latarjet procedure at a minimum of a 10-year follow-up evaluating recurrence and arthropathy development rates.

Methods: A systematic review was performed in concordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were included if they reported on the arthroscopic Bankart repair or open Latarjet procedure with a minimum 10-year follow-up. Recurrent instability, revisions, and instability arthropathy were evaluated.

Results: Overall, 40 studies met our criteria and were included, with 2,019 shoulders undergoing arthroscopic Bankart repair and 1,069 undergoing the open Latarjet procedure. The rate of recurrent instability was 0.0% to 22.6% (redislocations: 0.0%-9.6%) in those undergoing an open Latarjet procedure and 13.3% to 82.2% (redislocations: 9.6%-25.7%) among those undergoing arthroscopic Bankart repair. The rate of total revisions was 0.0% to 17.9% in those undergoing an open Latarjet procedure and 4.8% to 42.9% among those undergoing arthroscopic Bankart repair. The rate of overall arthritis was 10.3% to 71.4% in those undergoing an open Latarjet procedure and 16.7% to 89.3% among those undergoing arthroscopic Bankart repair.

Conclusions: There was a lower recurrent instability rate and revision rate in the open Latarjet group compared to the arthroscopic Bankart group at long-term follow-up. The rates of moderate to severe arthritis were comparable between the 2 procedures.

Level of evidence: Level IV, systematic review of Level I-IV studies.

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在10年的随访中，开放Latarjet比关节镜Bankart修复的复发不稳定性和翻修率更低：一项系统综述。

目的：比较关节镜下Bankart修复与开放Latarjet手术至少10年的随访，评估复发和关节病变的发展率。方法：按照PRISMA指南进行系统评价。如果报道了关节镜下Bankart修复或开放Latarjet手术，随访时间至少为10年，则纳入研究。评估复发性不稳定、修复和不稳定关节病。结果：总体而言，40项研究符合我们的标准，包括2019例接受ABR的肩部和1069例接受开放Latarjet手术的肩部。接受开放性Latarjet手术的患者复发不稳定率为0.0%-22.6%（再脱位：0.0%-9.6%），接受关节镜Bankart修复的患者复发不稳定率为13.3%-82.2%（再脱位：9.6%-25.7%）。在接受开放Latarjet手术的患者中，总翻修率为0.0%-17.9%，在接受关节镜Bankart修复的患者中，总翻修率为4.8%-42.9%。接受开放性Latarjet手术的患者总体关节炎发生率为10.3%-71.4%，接受关节镜Bankart修复的患者总体关节炎发生率为16.7%-89.3%。结论：在长期随访中，与关节镜下Bankart组相比，开放Latarjet组的复发不稳定率和翻修率较低。中重度关节炎的发病率在两种治疗方法之间是相当的。证据等级：IV级：对I-IV级研究的系统评价。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.

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